| Joanna L. Hurd, DDS, PC | |
|
410 D Se 3rd Street Suite 102 Lee's Summit MO 64063 | |
| (816) 524-4509 | |
| (816) 524-4509 |
| Full Name | Joanna L. Hurd, DDS, PC |
|---|---|
| Speciality | Dentist |
| Location | 410 D Se 3rd Street, Lee's Summit, Missouri |
| Authorized Official Name and Position | Joanna Linn Hurd (OWNER/CEO) |
| Authorized Official Contact | 8165244509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna L. Hurd, DDS, PC 410 D Se 3rd Street Suite 102 Lee's Summit MO 64063 Ph: (816) 524-4509 | Joanna L. Hurd, DDS, PC 410 D Se 3rd Street Suite 102 Lee's Summit MO 64063 Ph: (816) 524-4509 |
| NPI Number | 1033477815 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033477815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MO2009012714 (Missouri) | Primary |
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